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After the third injection, an initial increase in serum cobalamin concentration was observed, although the achieved level was not stable and a fourth injection was required

Sterile Water for Injection, USP is specified as containing no bacteriostat, antimicrobial agent or added buffer, so nothing suppresses microbial growth once the seal is broken, and it is treated as a single-use article

Side effects are uncommon but may include slight redness or soreness at the injection site

[427] The measure developer also found that facility performance scores in the pilot study demonstrated moderate reliability based on a signal-to-noise ratio

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